Information Collection Request

[NCHHSTP] National Syringe Services Program (SSP) Evaluation

ICR 202310-0920-001 · OMB 0920-1359 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Nonresponse Survey Form and Instruction Modified Repair queued
National Syringe Services Program Evaluation Form and Instruction Modified Repair queued
Att 12 PIA Form_NSSSP.pdf Supplementary Document Uploaded 2023-10-13 Repair queued
Att 11b 2024+ NSSSP requested changes.xlsx Supplementary Document Uploaded 2023-10-13 Repair queued
Att 11a 2023 NSSSP de minimus changes.xlsx Supplementary Document Uploaded 2023-10-13 Repair queued
Att 10_Sample Analysis Table.docx Supplementary Document Uploaded 2023-10-13 Repair queued
Att 8_Project Determination_2023.pdf Supplementary Document Uploaded 2023-10-13 Repair queued
Att 5_Model Final Reminder.docx Supplementary Document Uploaded 2023-10-13 Repair queued
Att 4_Model Survey Reminders.docx Supplementary Document Uploaded 2023-10-13 Missing upstream
Att 3_Model Invitation Letter_final.docx Supplementary Document Uploaded 2023-10-13 Repair queued
Att 2 60 Day FRN-Pub 5-4-2023.pdf Supplementary Document Uploaded 2023-10-13 Repair queued
Att 1_Authorizing Legislation.docx Supplementary Document Uploaded 2023-10-13 Repair queued
Supporting Statement B.docx Supporting Statement B Uploaded 2023-10-16 Missing upstream
Supporting Statement A_final.docx Supporting Statement A Uploaded 2023-10-16 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
248418 Nonresponse Survey Form and Instruction Modified
248417 National Syringe Services Program Evaluation Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 12/31/2024
2,000 960
616 296
0 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
National Syringe Services Program Evaluation n/a, n/a NSSSP Instrument 2024+ ,   NSSSP Instrument 2024+ (Spanish)
Nonresponse Survey n/a Nonresponse Survey

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,000 960 0 1,040 0 0
Annual Time Burden (Hours) 616 296 0 320 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  Yes
 
Reginfo record details
table that charts list of RCF
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title